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HCBS waiver
Also called: Home and Community-Based Services waiver, 1915(c) waiver
Last reviewed 2026-07-08
An HCBS waiver lets Medicaid pay for care at home or in the community. This is an option instead of requiring someone to live in a nursing home.
The state limits the number of people it can serve under a given waiver, so some states keep a waiting list. Services can include things like personal care, respite for family caregivers, or home modifications. Each waiver has its own list of covered services and its own rules.
This word shows up in long term care Medicaid materials, often followed by a program name and a waiting list note.
“only to beneficiaries who the agency determines would, in the absence of these services, require the Medicaid covered level of care”
Programs
This word shows up in real letters. Start with your letter
Related words
Patient liability
Patient liability is part of your income you must put toward nursing home costs. Medicaid covers the rest of your care once you pay that part.
Adverse determination (level of care)
An adverse determination is a decision about your level of care. It states that you do not need the nursing home or specialized care you were getting.
Community Spouse Resource Allowance (CSRA)
The Community Spouse Resource Allowance is savings a spouse at home may keep. This applies when the other spouse applies for nursing home Medicaid.
Sources
- Cornell Law School Legal Information Institute (e-CFR mirror)Retrieved 2026-07-08
Last reviewed 2026-07-08